| NPI | 1790044741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2023-09-07 |